08711 (SFD)' �' 1` , \ ' l; P.O. BOX 1504 r - N o . 087-11
Building t 1 1 ' ,I OUINTA CAL CALIFORNIA 92253 lo
DO
Address �t_�z (1..y7 -
Owner "
Mailing "
Address A.O. Box 13003
City Zip Tel.
3Palm $Desart 192255 773-1702
Contractor
R.Vt1fte-bn
Address `
City —" - -----rZip — ITel.
State Lia_ I City
& Classif. - Lic. #
Arch., Engr.,
Designer
Address
City - I ZipI State
ft I
Y_ &",I w Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affi(g). that I am licensed under provisions of Chapter 9 (commencing with Section .
7000) of Dlvtsfon°3 of the Business and Profession ,
s-Gode,–and-my-license is in full force and
effect. !!
SIGNATURE J �- DATE
> OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
.reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
'permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance also
- . requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing .with Section 7000) of
Division 3 of the Business and Professions Code, or that, he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of.the property, or my employees with.wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, .the building
or improvement Is sold within one year of completion, the owner -builder will have the burden
or proving that he did not build or improve for the purpose of sale:)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code:)
Policy No. .Company
�opy is filed with the city. .O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thip work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address—
City, State, Zip
LDING: TYPE CONST. OCC: GRP.
A.P. Number f f
Legal Description.•t`�/
Project Description
Sq. Ft. No. No. Dw.
Size3$JA() Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
Estimated Valuation
4s< A
PERMIT
AMOUNT
Plan Chk. Dep. �,Iw
Plan Chk. Bal
-72-7
R
Const.q
Mech.
I n%
Electrical
a
Plumbing -
..
n
S.M.I.a
Grading
20 w
G
Driveway Enc.
2
nA
Infrastructure
Anna
G w d ..
Ai
a4 ?F
A e
ebl
TOTAL 9345.12
/ >/
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT. ®'
V7
YARD SPKLR SYSTEM
POR. SO, FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
DRAINAGE PIPING
WALL SO. FT.
DUCT WORK l
`
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
HEATING (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GRADING
cu. yd.
$ plus x$
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER, B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING' ,2 !�I
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
V7
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK l
`
ROCK STORAGE
FOUND. REINF. d
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT 1
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 2i
FINAL INSP. l ( �� a�, L
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING �l �( l� LQ
ROOFING `3a Lt Co
62
•
REMARKS:
r co.r
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND /:. lG
lY
FINISH GRADING
FINAL INSPECTION L LC
CERT. OCC.
FENCE FINAL
INSPECTOR'S
SIGNATURES/INITIALS
GARDEN WALL FINAL
Rancho capisrtr2ar-2o acv_ corzp
November 20, 1991
To Whom It May Concern,
The home built on Lot #47 of Tract #24890-4 is a spec home. When the
home is sold, window coverings will be installed. We estimate that date
to be approximately 6-8 weeks from the date of this letter.
The flooring is being installed at the current time. The wood portion
of the flooring should be completed as of December 1, 1991. The carpet
should be completed as of December 5, 1991.
Thank you for your cooperation.
#14 El Dorado • Newport Beach, CA 92660 • (714) 760-8352
P.O. Box 13003 • Palm Desert, CA 92255 0 (619) 773-1702
DESERT SANDS :UNIFIED SCHOOL DISTRICT
82-879=Highway 111
NOTICE: Indio -CA 92201
Document Cannot Be Duplicated (6i9) 347-8631
Date 12/12/91 Type of Permit I La . uinta:
No. 11049 _ Permit #
Log #
Owner Name Rancho CapistranoADe�elopment
No.
city La "hta zip 92253- Study`Area 117
APN #
Type of Development Sin
Comments Annrnvpd by
Tract # Lot # .
Square Footage 1
] 'No. of units
!tv ti•'
At the present time, the Desert Sands Unified School District does not collect fees on"
garages/carports, covered patios/walkways; residential additions, under 500 square feet;"
detached accessory structures or replacement n obilehomes. It has.. been determined
the above-named owner is. exempt from paying�scliool Tees at this time due to the
following reason:
This certifies that school facilityfees imposed pursuant to'.°Mitigation Agrtiement
in the amount of 628:00 X" 1 .. or$ ..628A0,U_ have been paid to D.&S.D. for
0 0
the property listed aboverand that builduig.peruiits and/or: Certificates. of Occupancy for
this square footage in this proposed.project`nay 4ow;be issued.
Fees Paid By 'Rancho .Capistrano Development Telephone .773-1702
Name on the check
By James E. Lively -
Assistant Superintendent, Business Services = V
Fee collected /exempted by Vickie J. Durrett ,
Payment ReceivQd - ►. .
SignatureCJ
�G,li'ec�:l' 'Ho:`2248
Collector: Attach a. copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy= App4caiit4leceipt Copy - Accounting
DESERT SANDS UNIFIED -SCHOOL DISTRICT
82-879; Highway 111
NOTICE: Indio; CA ,92201
Document Cannot Be Duplicated (619) 347-8631_
Date 3/,18/91 Type of Permit L' a`- Uinta
No. 10476 Permit .#� .,
Log #
Owner Name Rancho Capistrano
No.: 78-805- street Pina Stre'e't,-',`"
.
City La Quinta, zip :92253 Study Area 116
APN # Tract # Lot it Square Footage 1*
Type of Development Sin he Famil y Re
sdence, No. of units �
Comments $629-00 = PrItinit ac APr ae PPment
*oonr►
At the present time, theDesert Sands Unified.School District does not collect.fees on
garages/carports, covered patios%walkways ,'.residential -additions under 50.0 square feet,
detached accessory structures or replacement mobilehomes: It has been determined
the above-named owner is exempt from .paying" school fees at this me. due to the.
following reason:
EXEMPTION NOT APPLICABLE
This certifies that.school facility -fees imposed pursuant to. Mitigation Agreement
in the amount of 628:00 X: or $ .628.00: have. paid to-D.S.U.SM. for
the property listed above and tliAt building permits and/or.: Certificates of Occupancy for
this square footage in this proposed projectmay now be issued:
Fees Paid By Rancho Capistrano Telephone 5644Y705
Name'on the check
By Richard.,M..Beck
Director, Facilities Planning &Development
Fee collected /exempted'by Kathleen .Emmerling .
Payment. Received`'
Signature Check
Collector: Attach a copy of county or city plan check application form to district copkltbr all'waivers.
Embossed Original- Biulding.I)6 04pplicant Copy, - Applicant/Receipt Copy Accounting
•� Yk"'-.ti0�)y. 1•{ht: r" fyt. it 'i . A••.4 .l • .nt '
4
rrvwa°;
THANK YOU.
i
Sales
x 43'780 Culebra Ln Installation•
b , 1 Bermuda Dunes, dA.. 92,201 (619) 345-4003
R
0-. Whom I't. May Concern;
W.e »dhave o'rdere:d °a' custom set ` of Glass Door for
Lot 47
nLa Qizinta. These doors wi°°ll.be will be installed
in
pprox ma -761y '6` to. '8 weeks. This is 'the' factory
order
ig{,me
' We wi'lkl ith tAlr .doors on fireplace as ;soon as
they arrive
om Nfthe factor "
rrvwa°;
THANK YOU.
_f-1, n 44
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This Certificate i3sued pursuant ' the requirements,of'Section 306 of the Unifoem' Bulldir g�
Code certifying'that,at the time of issuance this structure was in colpllonce with the.voiso �Y
's
ordinances of the Cit re ulotin `� building construction, or use. For. the followir�
Y 9 9
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i
BUILDING AD0ASS �8-805 Pina Street
'i
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s�I
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Use Classification ski)A'Bldg. Perinif No
Group R3 TYPe Constii,ction Fir Zone f Us ton6
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oC'Dev. 3iRachrs O10Owner of Buildg � ,�
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City Palm Desert :CA 1922.5 '..y r �',µ
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s•.
By; •Lonnie
IA
em
77;�h f ' oate: Novber.;18; 1991w
Building Official _- '++ 4
WET "IN' A Cofj8vICUCU! P'LACt
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